边界患者中吸烟的长度描述和预测:18年的随访研究
Marcelo J A A Brañas1,2,3, Frances R Frankenburg1,4, Christina M Temes5,5,6,7
1Laboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts.
The Journal of clinical psychiatry
|November 9, 2023
概括
边缘性人格障碍 (BPD) 的康复患者在18年内显著降低了吸烟率. 吸烟的预测因素包括滥用酒精,低学历和否认,突出了BPD恢复和减少吸烟之间的联系.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 纵向研究 纵向研究
背景情况:
- 边界性人格障碍 (BPD) 是一种复杂的心理健康状况.
- 烟草使用在BPD患者中非常普遍.
- 了解BPD的吸烟模式和预测因素对于治疗至关重要.
研究的目的:
- 为了比较已康复和未康复BPD患者的吸烟患病率和18年的变化.
- 确定在被诊断患有BPD的患者中使用烟草的基线预测因素.
主要方法:
- 一项纵向研究追踪了264名BPD患者18年,从1992年6月到1995年12月收集的数据.
- 吸烟史被评估在2年间隔使用采访.
- 经使用DSM-III-R和DIB-R标准确认了BPD的诊断.
主要成果:
- 在6年的随访期间,康复的BPD患者的吸烟率下降了48% (P=.01).
- 在康复组中,吸烟率下降的速度比康复组快68% (P=.008).
- 吸烟的重要预测因素包括酒精滥用/依赖 (RR=1.22),低教育程度 (RR=1.28) 和更高的否认 (RR=1.08).
结论:
- 随着时间的推移,康复状态显著影响了BPD患者的吸烟率.
- 在BPD中吸烟是由先前的精神病理学,人口因素和心理成熟度的组合预测的.
- 这些发现强调了在BPD恢复框架内解决戒烟问题的重要性.
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